{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T09:39:13Z","timestamp":1790069953157,"version":"4.0.1"},"reference-count":11,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,8,3]],"date-time":"2020-08-03T00:00:00Z","timestamp":1596412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND\/OBJECTIVES<\/jats:title>\n                    <jats:p>Coronavirus disease 2019 (COVID\u201019) has pushed many geriatric healthcare providers to attempt video visits for the first time. Although the Veterans Health Administration (VA) is a pioneer in telemedicine, rapid shifts to nearly exclusive use of telehealth for healthcare delivery and changes regarding trainee engagement in telehealth served as the impetus for rapidly assessing telehealth training needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN<\/jats:title>\n                    <jats:p>National needs assessment (online survey) of associated health trainees and medical fellows affiliated with Geriatric Research Education and Clinical Centers (GRECCs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTING<\/jats:title>\n                    <jats:p>National GRECC network \u2010\u2010 20 VA centers of excellence focused on supporting Veterans as they age. Each GRECC is affiliated with a school of medicine at a major university.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PARTICIPANTS<\/jats:title>\n                    <jats:p>Trainees (n = 89) representing 12 disciplines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Two\u2010thirds of participants had received some telehealth training. However, most had never done a video\u2010to\u2010home visit, and, regardless of telehealth experience, they reported low confidence. Based on open\u2010ended questions exploring training needs, educational resources were rapidly developed and disseminated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>INTERVENTION<\/jats:title>\n                    <jats:p>Within 1\u2009week of the assessment, a nuts\u2010and\u2010bolts guide regarding remote access, technology requirements, video\u2010conferencing platforms, and managing emergencies was sent to the national network of GRECC associate directors for education for dissemination among discipline\u2010specific training directors at their sites. This resource was subsequently submitted to the national VA COVID Strong Practices SharePoint site. An interdisciplinary team of geriatric specialists with extensive video\u2010to\u2010home experience also organized a national webinar that peaked at just over 700 participants. GRECC Connect, a network of geriatric specialty teams funded to improve care access for rural older veterans using telehealth and associated health training programs at each GRECC facilitated rapid development and dissemination of both resources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>We quickly identified and responded to telehealth training needs of geriatrics trainees to optimize care for rural older adults as part of a rapid response to COVID\u201019. Although the webinar and nuts\u2010and\u2010bolts resources were developed within the VA context, they have demonstrated high demand and broader applicability. Results should continue to inform curriculum development efforts to address telehealth training gaps within and outside the VA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.16704","type":"journal-article","created":{"date-parts":[[2020,7,8]],"date-time":"2020-07-08T08:54:46Z","timestamp":1594198486000},"page":"1907-1912","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["National Geriatric Network Rapidly Addresses Trainee Telehealth Needs in Response to\n                    <scp>COVID<\/scp>\n                    \u201019"],"prefix":"10.1111","volume":"68","author":[{"given":"Kathryn A.","family":"Nearing","sequence":"first","affiliation":[{"name":"Eastern Colorado VA Geriatric Research Education and Clinical Center  Aurora Colorado USA"},{"name":"Division of Geriatric Medicine University of Colorado Anschutz Medical Campus  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hillary D.","family":"Lum","sequence":"additional","affiliation":[{"name":"Eastern Colorado VA Geriatric Research Education and Clinical Center  Aurora Colorado USA"},{"name":"Division of Geriatric Medicine University of Colorado Anschutz Medical Campus  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuti","family":"Dang","sequence":"additional","affiliation":[{"name":"Miami Veterans Affairs Healthcare System  Miami Florida USA"},{"name":"Division of Geriatrics and Palliative Medicine, Department of Medicine University of Miami Miller School of Medicine  Miami Florida USA"},{"name":"Miami Veterans Affairs Healthcare System Geriatric Research Education and Clinical Center  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Becky","family":"Powers","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center  San Antonio Texas USA"},{"name":"South Texas Veterans Healthcare System Geriatrics Research Education and Clinical Center  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaye","family":"McLaren","sequence":"additional","affiliation":[{"name":"Bedford VA Medical Center, Division of the New England Geriatric Research Education and Clinical Center  Bedford Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Gately","sequence":"additional","affiliation":[{"name":"Bedford VA Medical Center, Division of the New England Geriatric Research Education and Clinical Center  Bedford Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Hung","sequence":"additional","affiliation":[{"name":"Bronx Geriatric Research Education and Clinical Center James J. Peters VA Medical Center  Bronx New York USA"},{"name":"Icahn School of Medicine  Mount Sinai New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Moo","sequence":"additional","affiliation":[{"name":"Bedford VA Medical Center, Division of the New England Geriatric Research Education and Clinical Center  Bedford Massachusetts USA"},{"name":"Harvard Medicine School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,3]]},"reference":[{"issue":"10","key":"e_1_2_5_2_1","first-page":"464","article-title":"GRECC Connect: geriatrics telehealth to empower health care providers and improve management of older veterans in rural communities","volume":"36","author":"Pimentel CB","year":"2019","journal-title":"Fed Pract."},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ppar\/prz030"},{"key":"e_1_2_5_4_1","unstructured":"U.S. Department of Veterans Affairs.Eldercare Workforce Alliance Issue Brief: Supporting the Geriatric Workforce and Older Veterans (online). Available at:https:\/\/eldercareworkforce.org\/wp-content\/uploads\/2018\/03\/VA_Issue_Brief_FINAL.pdf. Accessed April 14 2020."},{"key":"e_1_2_5_5_1","unstructured":"U.S. Department of Veterans Affairs. Office of Academic Affiliations Academic Year 18\u201019 Statistics: Health Professions Trainees (online). Available at:https:\/\/www.va.gov\/OAA\/docs\/OAA_Statistics_2019.pdf. Accessed April 14 2020."},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.04004.x"},{"key":"e_1_2_5_7_1","unstructured":"U.S. Department of Veterans Affairs.VHA Handbook 1140.08. Veterans Health Administration Transmittal Sheet Washington DC 20420 (online). Available at:https:\/\/www.va.gov\/vhapublications\/publications.cfm?Pub=2. Accessed July 6 2020."},{"key":"e_1_2_5_8_1","unstructured":"U.S. Department of Veterans Affairs. Office of Geriatrics and Extended Care. FY 19 GRECC Aggregated Annual Report. VHA Office of Geriatrics and Extended Care program analyst email communication. Accessed February 18 2020."},{"key":"e_1_2_5_9_1","unstructured":"U.S. Department of Veterans Affairs. Office of Rural Health. Rural Veterans.https:\/\/www.ruralhealth.va.gov\/aboutus\/ruralvets.asp. Updated January 28 2020. Accessed April 14 2020."},{"key":"e_1_2_5_10_1","unstructured":"Cowper RipleyDC AhernJK LittER WilsonLK. Chapter 3: Veteran population enrollees and patients. Rural Veterans Health Care Atlas 2nd ed. FY 2015. Washington DC: VHA Office of Rural Health Department of Veterans Affairs; 2017.https:\/\/www.ruralhealth.va.gov\/docs\/atlas\/CHAPTER_03_Vets_Enrollees_Pts.pdf. 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